“Doctor, are you kidding me? Every year I have a physical examination and nothing is abnormal. Now you say I have advanced lung cancer, what’s the point of having a physical examination?” Mr. Liu questioned the doctor’s diagnosis.
Doctors pointed out that the phenomenon of “every year the physical examination is ok, but the result is suddenly found cancer” often happens in clinical practice. Most patients’ first reaction is to question the misdiagnosis and then go to several hospitals for diagnosis, but the fact will not change.
In fact, with the development of the economy, people’s health awareness is rising, according to the truth, should be able to avoid this kind of situation, why make such a mistake?
One, three reasons have been exposed, provoking reflection
Is annual physical examination a waste of money after all? Does physical examination have effect after all? It’s all because people “misunderstand” the exam.
A lot of people are pretending to have a physical exam for cancer.
The physical examination is not a consultation, it is not to detect a disease, but so that people can better understand their own health status. The human body is like tap water, and physical examination is the first filter, which can only screen out the major symptoms of human body, but more detailed diseases need multiple filters to be detected. Therefore, the items and positions of physical examination and the importance of the results after physical examination all affect the reference value of physical examination.
The checkup isn’t right: Annual checkups, a perk of most companies, are generally called routine checkups and aren’t specific to cancer. And early cancer, need to have targeted in order to detect in time. For example, colorectal cancer requires a digital rectal examination or colonoscopy; Lung cancer requires chest CT scan.
Missed diagnosis and misdiagnosis by doctors: Cancer cells are very subtle, and without professional knowledge and rich clinical experience, misdiagnosis and missed diagnosis are not surprising. In particular, some so-called physical examination institutions have uneven levels of personnel on duty, and some even employ unqualified people as inspectors. As a result, it is conceivable that the probability of misdiagnosis and missed diagnosis will certainly increase.
Physical abnormalities are not taken seriously: when most patients receive physical examination reports with abnormalities in black and white, not many people pay attention to them and go for a follow-up visit. Xiao Ai has a friend, was diagnosed with thyroid nodule during the physical examination, the report suggested that he go to see a doctor further, to determine the nature of the nodule, but the friend is busy as an excuse, has been delayed, until touch the nodule as the size of a coin, only in a hurry to return to the doctor.
Second, the customization of personalized inspection, is the key
Some experts say that many people have a biased understanding of the physical examination, and the items they choose are not completely suitable for them. The contents of the physical examination should be analyzed according to the comprehensive factors such as personal history, family history, age, gender, health risk factors and economic status.
The selection of the project should reflect the personalized needs, and it is better to choose the same physical examination institution for a long time, so that the physical examination report can have continuity and stronger reference value.
The following four elements are essential for a personalized medical checkup:
- Medical history and family hereditary diseases;
- Communicate existing health problems;
- Communicate about daily life habits, such as whether they are sedentary, whether they are under great pressure, whether they smoke or drink;
- Select the examination items according to the doctor’s evaluation and suggestion.
The formulation of personalized physical examination is more conducive to the timely detection of physical abnormalities, especially the timely detection of cancer. Because the early stage of the cancer is not obvious, many patients go to see a doctor when they have symptoms. Personalized medical examinations can improve the detection rate of early cancer and reduce the death rate of cancer.
- Regular follow-up visits are required if “polyp of cyst hyperplasia” is found in physical examination
When there are nodules, polyps, cysts, hyperplasia and other words on the physical examination report, and often these do not pay attention to the abnormal, may contain the precursor of the tumor.
A nodule is an abnormal mass of tissue in the body, large or small, that can be found more or less on everyone if a careful imaging examination is performed.
Some nodules can coexist peacefully with the body, while others will kill you. Nodules do not determine benign or malignant, even benign nodules, after a long process of evolution may occur.
To determine the nature of the nodules, it is important to pass an auxiliary examination. If the nodules are determined to be malignant, further examination may be required, such as a needle biopsy or surgical excision of the nodules. If the nodules are benign, regular reexamination is needed.
A cyst is just a fluid with a complete envelope. Cyst does not meet evil change, also won’t transform for tumor, great majority cyst does not need operation to treat, check regularly can. If the cyst is larger than 5cm, you need to communicate with your doctor to decide whether to remove it.
Hyperplasia normally belongs to benign, our common mammary gland hyperplasia, prostatic hyperplasia, say simply the cell in the organization increases, volume increases. Most people will increase with age, there are different degrees of hyperplasia, the vast majority of hyperplasia will not become cancerous, only a few will appear atypical hyperplasia, cancer.
Polyps are “bumps” that grow on the surface of human tissue. Intestinal polyps, gastric polyps, nasal polyps and cervical polyps are common polyps. Among them, intestinal polyps and gastric polyps can develop into malignant tumors. Therefore, if polyps are diagnosed, treat them as soon as possible to prevent malignant changes.
Routine tests are not the “gold standard” for diagnosing cancer; they are the cornerstone of a person’s health. In order to have a more detailed grasp of health status, more personalized programs are needed to achieve the purpose of cancer screening. At the same time, to prevent cancer, we should pay attention to the daily diet and exercise more to improve the immune system to fight against cancer.